Lake Orthopaedic Associates, Inc.

NPI #1780613851 in Mentor, Ohio

Provider Information

NPI Number: 1780613851
Entity Type: Organization
Organization Name: Lake Orthopaedic Associates, Inc.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 1, 2006
Last Updated: Jun 16, 2021

Practice Location

Address: 9500 MENTOR AVE
Address 2: SUITE 210
City: Mentor
State: Ohio
ZIP Code: 44060-8713
Phone: (440) 352-1711

Authorized Official

Name: MS. LAUREEN T PELLETIER
Title: MANAGER
Phone: (440) 352-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Orthopaedic Surgery	207X00000X	Primary

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